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CMS RVU26D · Effective 2026-10-01

44394 in Wyoming**

Office / nonfacility

$479.22

Base rate per service

Facility setting

$195.31

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Gastrointestinal endoscopy

About 44394: Stomal colonoscopy with snare removal

Report this service when a colonoscope is passed through a stoma and a colonic lesion is removed using a snare during the examination.

A gastroenterologist or colorectal surgeon advances a colonoscope through a colonic stoma to examine the colon and remove a tumor, polyp, or other lesion with a snare. This may occur during an outpatient endoscopy or a hospital-based procedure for a patient with a colostomy. The approach through the stoma and the snare removal distinguish this service from routine inspection, forceps removal, and colonoscopy performed through the anus.

Select the code from the access route and documented removal technique; the report should identify the stoma approach and the lesion treatment performed. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy family pricing applies. Modifier 50 is inappropriate because the descriptor and anatomy do not support bilateral adjustment. CMS does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 44394

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Endoscopy family pricing applies when related endoscopies are performed together.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.93 · 27%
  • Practice expense (office) RVU10.04 · 69%
  • Malpractice RVU0.51 · 4%

2.5K

Medicare services in 2024 · #2301 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

44394 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

44392

Stoma colonoscopy

Hot biopsy forceps removal

$427.08

Both involve lesion removal through a stoma, but 44394 is selected for snare technique; 44392 describes hot biopsy forceps or bipolar cautery.

44389

Colonoscopy

Through stoma, with biopsy

$454.12

44389 is for biopsy sampling through the stoma. Choose 44394 when the lesion is removed with a snare.

45385

Snare polypectomy

During colonoscopy

$495.58

The snare removal technique is similar, but 45385 is for colonoscopy through the anus; 44394 is for access through a stoma.

The same code, a different location

How does Wyoming** compare?

44394 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $479.22

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $544.67

    $65.45 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $552.35

    $73.13 higher than Wyoming**

  4. Miami

    $523.44

    $44.22 higher than Wyoming**

  5. Chicago

    $508.30

    $29.08 higher than Wyoming**

  6. Manhattan

    $556.35

    $77.13 higher than Wyoming**

  7. Alaska*

    $563.43

    $84.21 higher than Wyoming**

Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 44394 ranges from $428.10 in Arkansas to $638.40 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 44394

    Office

    $434.33

    Facility

    $185.91

    $44.89 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 44394

    Office

    $428.10

    Facility

    $184.22

    $51.12 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 44394

    Office

    $470.80

    Facility

    $195.69

    $8.42 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 44394

    Office

    $511.67

    Facility

    $200.51

    $32.45 higher than Wyoming** for the office setting.

  • Chico

    California · 44394

    Office

    $510.17

    Facility

    $199.00

    $30.95 higher than Wyoming** for the office setting.

  • El Centro

    California · 44394

    Office

    $510.25

    Facility

    $199.09

    $31.03 higher than Wyoming** for the office setting.

  • Fresno

    California · 44394

    Office

    $510.17

    Facility

    $199.00

    $30.95 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 44394

    Office

    $510.17

    Facility

    $199.00

    $30.95 higher than Wyoming** for the office setting.

  • Madera

    California · 44394

    Office

    $510.17

    Facility

    $199.00

    $30.95 higher than Wyoming** for the office setting.

  • Merced

    California · 44394

    Office

    $510.17

    Facility

    $199.00

    $30.95 higher than Wyoming** for the office setting.

  • Modesto

    California · 44394

    Office

    $510.17

    Facility

    $199.00

    $30.95 higher than Wyoming** for the office setting.

  • Napa

    California · 44394

    Office

    $590.17

    Facility

    $215.98

    $110.95 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 44394

    Office

    $541.93

    Facility

    $206.35

    $62.71 higher than Wyoming** for the office setting.

  • Redding

    California · 44394

    Office

    $510.17

    Facility

    $199.00

    $30.95 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 44394

    Office

    $510.17

    Facility

    $199.00

    $30.95 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 44394

    Office

    $515.70

    Facility

    $204.53

    $36.48 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 44394

    Office

    $535.13

    Facility

    $204.94

    $55.91 higher than Wyoming** for the office setting.

  • Salinas

    California · 44394

    Office

    $533.13

    Facility

    $204.08

    $53.91 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 44394

    Office

    $545.51

    Facility

    $205.96

    $66.29 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 44394

    Office

    $624.39

    Facility

    $224.08

    $145.17 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 44394

    Office

    $623.81

    Facility

    $223.50

    $144.59 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 44394

    Office

    $638.40

    Facility

    $229.01

    $159.18 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 44394

    Office

    $636.03

    Facility

    $226.64

    $156.81 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 44394

    Office

    $524.59

    Facility

    $201.21

    $45.37 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 44394

    Office

    $550.60

    Facility

    $205.65

    $71.38 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 44394

    Office

    $535.08

    Facility

    $204.05

    $55.86 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 44394

    Office

    $556.14

    Facility

    $207.50

    $76.92 higher than Wyoming** for the office setting.

  • Stockton

    California · 44394

    Office

    $510.17

    Facility

    $199.00

    $30.95 higher than Wyoming** for the office setting.

  • Vallejo

    California · 44394

    Office

    $589.34

    Facility

    $215.15

    $110.12 higher than Wyoming** for the office setting.

  • Visalia

    California · 44394

    Office

    $510.17

    Facility

    $199.00

    $30.95 higher than Wyoming** for the office setting.

  • Yuba City

    California · 44394

    Office

    $510.17

    Facility

    $199.00

    $30.95 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 44394

    Office

    $502.95

    Facility

    $200.87

    $23.73 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 44394

    Office

    $515.67

    Facility

    $209.90

    $36.45 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 44394

    Office

    $478.56

    Facility

    $198.06

    $0.66 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 44394

    Office

    $501.77

    Facility

    $214.17

    $22.55 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 44394

    Office

    $477.46

    Facility

    $206.04

    $1.76 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 44394

    Office

    $492.83

    Facility

    $204.38

    $13.61 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 44394

    Office

    $450.70

    Facility

    $197.45

    $28.52 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 44394

    Office

    $522.42

    Facility

    $199.61

    $43.20 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 44394

    Office

    $444.87

    Facility

    $185.09

    $34.35 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 44394

    Office

    $447.84

    Facility

    $186.65

    $31.38 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 44394

    Office

    $474.09

    Facility

    $212.90

    $5.13 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 44394

    Office

    $464.06

    Facility

    $204.85

    $15.16 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 44394

    Office

    $506.77

    Facility

    $215.20

    $27.55 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 44394

    Office

    $450.41

    Facility

    $187.23

    $28.81 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 44394

    Office

    $443.00

    Facility

    $186.35

    $36.22 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 44394

    Office

    $444.97

    Facility

    $192.58

    $34.25 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 44394

    Office

    $466.18

    Facility

    $199.02

    $13.04 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 44394

    Office

    $444.36

    Facility

    $193.11

    $34.86 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 44394

    Office

    $552.21

    Facility

    $213.22

    $72.99 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 44394

    Office

    $500.06

    Facility

    $201.11

    $20.84 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 44394

    Office

    $514.26

    Facility

    $209.63

    $35.04 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 44394

    Office

    $487.59

    Facility

    $200.27

    $8.37 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 44394

    Office

    $450.38

    Facility

    $189.18

    $28.84 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 44394

    Office

    $474.34

    Facility

    $192.99

    $4.88 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 44394

    Office

    $483.59

    Facility

    $209.62

    $4.37 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 44394

    Office

    $456.67

    Facility

    $197.46

    $22.55 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 44394

    Office

    $481.38

    Facility

    $189.24

    $2.16 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 44394

    Office

    $462.80

    Facility

    $196.21

    $16.42 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 44394

    Office

    $467.58

    Facility

    $197.30

    $11.64 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 44394

    Office

    $436.92

    Facility

    $192.20

    $42.30 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 44394

    Office

    $432.59

    Facility

    $188.14

    $46.63 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 44394

    Office

    $483.61

    Facility

    $199.70

    $4.39 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 44394

    Office

    $455.03

    Facility

    $190.14

    $24.19 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 44394

    Office

    $473.53

    Facility

    $189.62

    $5.69 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 44394

    Office

    $447.23

    Facility

    $185.18

    $31.99 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 44394

    Office

    $495.26

    Facility

    $199.72

    $16.04 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 44394

    Office

    $546.73

    Facility

    $217.40

    $67.51 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 44394

    Office

    $521.40

    Facility

    $211.37

    $42.18 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 44394

    Office

    $459.24

    Facility

    $198.89

    $19.98 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 44394

    Office

    $481.14

    Facility

    $196.94

    $1.92 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 44394

    Office

    $570.02

    Facility

    $232.46

    $90.80 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 44394

    Office

    $524.99

    Facility

    $214.11

    $45.77 higher than Wyoming** for the office setting.

  • Queens

    New York · 44394

    Office

    $560.61

    Facility

    $225.03

    $81.39 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 44394

    Office

    $461.82

    Facility

    $192.11

    $17.40 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 44394

    Office

    $454.61

    Facility

    $195.40

    $24.61 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 44394

    Office

    $443.96

    Facility

    $190.43

    $35.26 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 44394

    Office

    $518.61

    Facility

    $203.19

    $39.39 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 44394

    Office

    $477.24

    Facility

    $194.47

    $1.98 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 44394

    Office

    $503.04

    Facility

    $207.50

    $23.82 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 44394

    Office

    $455.21

    Facility

    $194.58

    $24.01 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 44394

    Office

    $487.08

    Facility

    $200.05

    $7.86 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 44394

    Office

    $495.37

    Facility

    $202.09

    $16.15 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 44394

    Office

    $455.60

    Facility

    $193.27

    $23.62 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 44394

    Office

    $472.33

    Facility

    $188.43

    $6.89 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 44394

    Office

    $445.24

    Facility

    $187.17

    $33.98 lower than Wyoming** for the office setting.

  • Austin

    Texas · 44394

    Office

    $501.42

    Facility

    $201.04

    $22.20 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 44394

    Office

    $452.25

    Facility

    $193.90

    $26.97 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 44394

    Office

    $477.93

    Facility

    $196.58

    $1.29 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 44394

    Office

    $481.07

    Facility

    $198.29

    $1.85 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 44394

    Office

    $477.93

    Facility

    $198.00

    $1.29 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 44394

    Office

    $479.42

    Facility

    $197.50

    $0.20 higher than Wyoming** for the office setting.

  • Houston

    Texas · 44394

    Office

    $488.75

    Facility

    $206.83

    $9.53 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 44394

    Office

    $464.89

    Facility

    $195.46

    $14.33 lower than Wyoming** for the office setting.

  • Utah

    Utah · 44394

    Office

    $461.79

    Facility

    $194.91

    $17.43 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 44394

    Office

    $472.94

    Facility

    $193.85

    $6.28 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 44394

    Office

    $487.08

    Facility

    $200.05

    $7.86 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 44394

    Office

    $471.88

    Facility

    $190.81

    $7.34 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 44394

    Office

    $499.05

    Facility

    $200.10

    $19.83 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 44394

    Office

    $563.21

    Facility

    $214.86

    $83.99 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 44394

    Office

    $457.77

    Facility

    $185.79

    $21.45 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 44394

    Office

    $447.06

    Facility

    $200.34

    $32.16 lower than Wyoming** for the office setting.

See how rates vary across the country

44394 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$428.10

$574.29

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$563.431
AL$434.331
AR$428.101
AZ$470.801
CA$510.17–$638.4029
CO$502.951
CT$515.671
DC$552.351
DE$478.561
FL$477.46–$523.443
GA$450.70–$492.832
GU$522.421
HI$522.421
IA$444.871
ID$447.841
IL$464.06–$508.304
IN$450.411
KS$443.001
KY$444.971
LA$444.36–$466.182
MA$500.06–$552.212
MD$487.59–$552.353
ME$450.38–$474.342
MI$456.67–$483.592
MN$481.381
MO$436.92–$467.583
MS$432.591
MT$483.611
NC$455.031
ND$473.531
NE$447.231
NH$495.261
NJ$521.40–$546.732
NM$459.241
NV$481.141
NY$461.82–$570.025
OH$454.611
OK$443.961
OR$477.24–$518.612
PA$455.21–$503.042
PR$487.081
RI$495.371
SC$455.601
SD$472.331
TN$445.241
TX$452.25–$501.428
UT$461.791
VA$472.94–$552.352
VI$487.081
VT$471.881
WA$499.05–$563.212
WI$457.771
WV$447.061
WY$479.221

Explore 44394 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 44394 in Wyoming**, the physician’s office rate is $479.22 and the facility-setting rate is $195.31: a difference of $283.91.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 44394 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$527.14

$479.22 × 110% = $527.14

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 44394 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

5,415

Code
44394
Physician work
3.93
Practice expense
10.04
Malpractice
0.51

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 44394 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work3.93× 1.0003.9300
Practice expense10.04× 1.00010.0400
Malpractice0.51× 0.7400.3774
Total RVUs14.3474
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$479.22

Open 44394 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.931
Practice expense10.041
Malpractice0.510.74

(3.93 × 1 + 10.04 × 1 + 0.51 × 0.74) × $33.4009 = $479.22

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.931
Practice expense1.541
Malpractice0.510.74

(3.93 × 1 + 1.54 × 1 + 0.51 × 0.74) × $33.4009 = $195.31

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

44394 · Office / nonfacility

$479.22

Effective 2026-10-01

The base rate is $64.24 higher than on 2025-10-01, moving from $414.98 to $479.22 (15.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $414.98changed to$479.22

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.03 changed to 3.93
    • Practice expense RVU 8.40 changed to 10.04
    • Malpractice RVU 0.54 changed to 0.51
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $414.98

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$479.22$195.31RVU26D
2026-07-01$479.22$195.31RVU26C
2026-04-01$479.22$195.31RVU26B
2026-01-01$479.22$195.31RVU26A
2025-10-01$414.98$211.19RVU25D
2025-07-01$414.98$211.19RVU25C
2025-04-01$414.98$211.19RVU25B
2025-01-01$414.98$211.19RVU25A

44394 billing questions

How does this differ from 44392?

Both describe lesion removal during colonoscopy through a stoma. Use 44394 for snare removal; 44392 is for removal by hot biopsy forceps or bipolar cautery.

When is 44389 more appropriate?

Use 44389 when tissue is sampled by biopsy during colonoscopy through a stoma rather than removed by snare.

Can the diagnostic examination be billed separately?

The code describes snare removal during the examination, not a separate diagnostic-only procedure. When related endoscopies are performed together, CMS endoscopy family pricing applies.

Should modifier 50 be reported?

No. The descriptor and anatomy make bilateral adjustment and modifier 50 inappropriate.

Can an assistant or co-surgeon be paid?

CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 44394PPRRVU2026_Oct_nonQPP.csv, line 5,415 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet